手术治疗混合痔合并低位肛瘘患者的临床疗效  

Clinical Effect of Surgical Treatment of Mixed Hemorrhoids combined with Low anal Fistula

作　　者：郑天一 ZHENG Tianyi(Shenyang Anorectal Hospital,Shenyang 110000,China)

机构地区：[1]沈阳市肛肠医院,辽宁沈阳110000

出　　处：《中国医药指南》2020年第36期63-64,共2页Guide of China Medicine

摘　　要：目的分析手术治疗混合痔合并低位肛瘘患者的临床疗效,为未来全面提高手术治疗效果寻找一种科学有效的方法。方法选取我院于2017年1月至2018年1月收治的60例混合痔合并低位肛瘘患者,随机将其分为观察组(30例)和对照组(30例),观察组患者接受肛瘘切除同期行混合痔选择性痔上黏膜切除术(TST)治疗,对照组患者接受肛瘘切除术后待肛瘘愈合后择期进行混合痔TST治疗,评价两组的临床应用效果。结果观察组患者术中出血量少于对照组,手术时间、切口愈合时间短于对照组(P<0.05);观察组患者的并发症发生率低于对照组(P<0.05)。结论在混合痔合并低位肛瘘的临床治疗中,选择肛瘘切除和混合痔上黏膜环切术同期治疗的方法可取得令人满意的效果,可将其作为临床治疗该疾病的首选方法。Objective To analyze the clinical efficacy of surgical treatment of mixed hemorrhoids combined with low anal fistula,and to find a scientific and effective method for comprehensive improvement of surgical treatment in the future.Methods Sixty patients with mixed ankle and low anal fistula admitted to our hospital from January 2017 to January 2018 were randomly divided into observation group(30 cases)and control group(30 cases).Patients underwent anal fistula resection and tissue-selecting therapy stapler.Patients in the control group underwent anal fistula after anal fistula.The patients were treated with mixed sacral hemorrhoidectomy.The clinical application effects of the two treatment methods were evaluated.Results The data of intraoperative blood loss,operation time and wound healing time were compared between the two groups.The observation group was superior to the control group(P<0.05).The complications of the two groups were compared.The observation group was superior to the control group(P<0.05).Conclusion In the clinical treatment of mixed hemorrhoids combined with low anal fistula,the choice of anal fistula resection and mixed supracondylar mucosal laparotomy can achieve satisfactory results.The indexes of the surgical method are superior to the conventional data,which proves that the surgical treatment method scientific,it should be the preferred method of clinical treatment.

关 键 词：混合痔合并低位肛瘘 手术治疗 肛瘘切除 选择性痔上黏膜切除术 手术时间 

分 类 号：R657.16[医药卫生—外科学] R657.18[医药卫生—临床医学]